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Arizona KidsCare (CHIP) State Plan Amendments

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SPA 13-006
Updates the State Plan to include children ineligible for Medicaid as a result of the elimination of income disregards.

SPA 04-01
Revises the CHIP State Plan in order to impose premiums for enrollees with incomes above 100 to 150 percent of
the Federal Poverty Level (FPL) and increase premiums for enrollees with incomes above 150 percent of the FPL.

SPA 02-01
AHCCCS' response to the CMS requirement that all states conform to a national template. AHCCCS updated old
sections and completed new sections. CMS was delayed in the issuing of the new template; however, CMS instructed
AHCCCS to use the 8/24/01 implementation date even though the template was completed in 2002.

SPA 01-01
Expands covered services of Title XXI; reduces the period of un-insurance from 6 to 3 months; waives the
period of un-insurance for children who are seriously or chronically ill and establishes a hardship exemption
process to the disenrollment process for non-payment of premiums.

SPA 00-01
Permits Arizona to disregard earnings from employment by the Census Bureau to assist in Census 2000 when making eligibility determinations.

Effective 4/1/00

Approved 4/3/00

Submitted 3/31/00

SPA 99-03
Clarifies reporting requirements of quality indicators, strategic objectives and performance goals. In addition,
Native Americans will not be imposed cost-sharing obligations. Finally, children who have been terminated from
private insurance as a result of lifetime limits will be considered for Title XXI eligibility purposes.